| NPI | 1669414306 |
|---|---|
| Former Legal Business Name | FREEDOM VISION SURGERY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | KIM LYNCH Administrator 818-788-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 930000916) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-10-19 |